Defining the risk of procedural sedation for gastrointestinal endoscopic procedures remains a vexing challenge. The definitions as to what constitutes a cardiopulmonary unplanned event are beginning to take focus but the existing literature is an amalgam of various definitions and subjective outcomes, providing a challenge to patient, practitioner, and researcher. Gastrointestinal endoscopy when undertaken by trained personnel after the appropriate preprocedural evaluation and in the right setting is a safe experience. However, significant challenges exist in further quantifying the sedation risks to patients, optimizing physiologic monitoring, and sublimating the pharmacoeconomic and regulatory embroglios that limit the scope of practice and the quality of services delivered to patients.
Key points
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Gastrointestinal endoscopy when undertaken by trained personnel after the appropriate preprocedural evaluation and in the right setting is a safe experience.
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However, clinicians should not be complacent in their lexicon when it comes to improving the safety of patients through further advances in the science of sedation and the lifetime journey of learning undertaken by gastrointestinal endoscopists.
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Significant challenges still exist in further quantifying the sedation risks to patients, optimizing physiologic monitoring, and sublimating the pharmacoeconomic and regulatory embroglios that limit the scope of practice and the quality of service delivered to patients.
Related posts:
Comprehensive Review of Adverse Events Associated with GI Endoscopy
Minimizing, Recognizing, and Managing Endoscopic Adverse Events
Adverse Events Associated with Percutaneous Enteral Access
Complications of Enteroscopy: How to Avoid Them and Manage Them When They Arise
Endoscopic Retrograde Cholangiopancreatography–Related Adverse Events
Closing Perforations and Postperforation Management in Endoscopy
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